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Damage control of multiple injuries headed by cervical spinal cord injury / 中华创伤杂志(英文版)
Article in En | WPRIM | ID: wpr-236735
Responsible library: WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To explore the strategy of damage control in clinical treatment of multiple injuries headed by cervical spinal cord injury.</p><p><b>METHODS</b>A retrospective analysis was performed in 32 patients. Cervical fractures associated with tetraplegia occurred in 18 patients, traumatic intervertebral disk hernia associated with tetraplegia in 2 patients, and cervical fractures and dislocation associated with tetraplegia in 12 patients. Seventeen cases were combined with craniocerebral injury, 7 combined with pulmonary contusion, multi-fractures of rib or hemopneumothorax, 2 combined with pelvic fracture and other 8 combined with fracture of limbs. The neural function was assessed by the American Spinal Injury Association (ASIA) scale.</p><p><b>RESULTS</b>Thirty-one patients were followed up for an average of 14 months. Of them, 10 got complete recovery, 13 obtained improvement of more than one ASIA grade, 8 did not improve, and 1 died.</p><p><b>CONCLUSIONS</b>For the emergency treatment of multiple injuries headed by cervical spinal cord injury, the damage control strategy is the principle to follow. The final operations are preferably performed within 5 to 10 days after injury so as to raise the successful rate of remedy.</p>
Subject(s)
Full text: 1 Index: WPRIM Main subject: Quadriplegia / Spinal Cord Injuries / General Surgery / Wounds and Injuries / Multiple Trauma / Cervical Vertebrae / Retrospective Studies / Emergency Treatment Type of study: Observational_studies Limits: Adolescent / Adult / Female / Humans / Male Language: En Journal: Chinese Journal of Traumatology Year: 2008 Type: Article
Full text: 1 Index: WPRIM Main subject: Quadriplegia / Spinal Cord Injuries / General Surgery / Wounds and Injuries / Multiple Trauma / Cervical Vertebrae / Retrospective Studies / Emergency Treatment Type of study: Observational_studies Limits: Adolescent / Adult / Female / Humans / Male Language: En Journal: Chinese Journal of Traumatology Year: 2008 Type: Article